Renal Center of Brick, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

22820 Issued in NJ

Legal business name

RENAL CENTER OF BRICK, LLC

Practice address

150 Brick Boulevard
Brick, NJ 08723-7125

Phone

(732) 477-2247

Fax

(732) 477-3479

NPI assigned

May 26, 2006

Last updated

Mar 13, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

RENAL VENTURES MANAGEMENT, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard Chatfield

Title

Chief Executive Officer

Phone

(303) 384-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Renal Treatment Centers Northeast Inc

  dba Jennersville Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • West Grove, PA
  • NPI 1871555748

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1801842182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 COLE BLVD",
            "address_2": "STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013306",
            "telephone_number": "303-384-4000",
            "fax_number": "303-273-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BRICK BOULEVARD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237125",
            "telephone_number": "732-477-2247",
            "fax_number": "732-477-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CENTER OF BRICK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RENAL VENTURES MANAGEMENT, LLC",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "CHATFIELD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "303-384-4000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NJ",
            "license": "22820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8956103",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Ann Reilly, AGACNP-BC
• Richard G Reisher, DO
• Robert Chase Reisler, MD
• Dorys Reitsma
• Rem New Jersey Inc
• Renew Therapy LLC
• Renova Recovery, LLC
• Frank Joseph Resola, L.P.C.
• Resolve Counseling Services, LLC
• Resources for Human Development, Inc.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Brick, NJ
• Providers in Brick, NJ by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.